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在过去几十年内,卫生保健系统金融化的趋势已迅速蔓延,并控制了目前的局面。所谓金融化,其实质是从1950年开始的货币经济迅速地向卫生保健系统的全面渗透。具体表现为:卫生研究中心财政方面的数量级式的增长;大型教学医院中,医生们从义务工作到雇佣劳动的转变;为满足服务性医院基本需要的慈善性捐赠的作用显著下降;以及由医生提供的无偿服务中,实质性成份的
In the past few decades, the trend of financialization of health care systems has rapidly spread and has controlled the current situation. The so-called financialization, in essence, is the rapid infiltration of the monetary economy from the 1950s into the health care system. This is reflected in the quantitative growth in the financial aspects of the Health Research Center; in large teaching hospitals, doctors’ transition from volunteer work to wage labor; the role of charitable donations to meet the basic needs of service hospitals has decreased significantly; and by doctors In the pro bono services provided, substantive components